Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations最新文献

{"title":"Major life expectancy risks in the military liquidators of the Chernobyl disaster in 1986","authors":"V. I. Legeza, S. Grigoriev, G. G. Zagorodnikov, V. M. Reznik, N. V. Aksenova","doi":"10.25016/2541-7487-2024-0-2-39-48","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-39-48","url":null,"abstract":"Relevance. The current realities (including the special military operation in Ukraine) are impregnated with a sharp increase in nuclear terrorism threats. In this regard, elimination of medical consequences of the 1986 Chernobyl nuclear power plant (Chernobyl NPP) disaster – the largest man-made radiation disaster in human history – is valuable experience that merits thorough analysis.The objective is to analyze risk factor impact on the life expectancy of liquidators engaged in eliminating the Chernobyl disaster consequences.Methods. The study analyzed initial accounts and reports of the Army Medical Register of the Ministry of Defense of the Russian Federation, containing information on 158 liquidators of the Chernobyl NPP disaster in 1986. The study focused on liquidator life expectancy in correlation with the absorbed external γ and β radiation dose, age at disaster site deployment, length of stay, the phase of accident, and professional activity.Results and analysis. The liquidators did not show a robust correlation between the absorbed external γ and β radiation dose and life expectancy. The key factors affecting the life expectancy of Chernobyl disaster liquidators were age at the time of deployment (under 40 years), length of stay at the NPP (over 50 days), including during the acute phase, work involving high risks. The absorbed dose of external γ- and β- radiation did not contribute significantly to shorter life expectancy risks among Chernobyl liquidators.Conclusion. The study results allow to conclude that the length of stay in the hazardous radioactive zone and the age of liq uidators at the time of deployment are the likely high-risk factors, affecting life expectancy of Chernobyl liquidators. Meanwhile, none of the studied predictor factors showed any significant impact on the 25-year survival of Chernobyl liquidators.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"33 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cluster analysis and visualization of keywords in papers by international researchers on bioactive drugs in the treatment of rotator cuff injuries","authors":"N. V. Vasil’chenko, A. A. Vetoshkin, S. S. Gusev","doi":"10.25016/2541-7487-2024-0-2-99-112","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-99-112","url":null,"abstract":"Relevance. Rotator cuff ruptures continue to show high incidence with no signs of decrease. Despite the available expertise in advanced diagnosis and surgical treatment, supported by extensive scientific evidence, achieving optimal clinical outcomes remains a challenge. As a result, researchers and clinicians have been exploring alternative methods to improve outcomes. Recent studies in orthopedics have demonstrated that using bioactive drugs (biologic augmentation), particularly multipotent stem cells, may positively influence tissue regeneration. Therefore, biologic augmentation may be a promising strategy for promoting tissue healing.The objective of this study is to perform a cluster analysis and visualization of keywords in papers by international researchers on innovative rotator cuff injury treatments, including bioactive drug therapy.Methods. This study investigated publications dated 2013 to 2022 and published in the PubMed international reference and bibliographic database, using terminology-based search queries, i.e. (concentrated bone marrow aspirate OR stem cells OR platelet) and (rotator cuff injury). The search yielded 484 relevant scientific papers. Relevant bibliographic information was uploaded in “.txt” format into the VOSviewer 1.6.20 analytical software.Results and analysis. . With the coefficient of determination (R2 = 0.94), the polynomial trend of article dynamics showed an increase in the number of publications. The average annual number of articles was 46. With 3 repetitions, 207 keywords were analyzed and combined subsequently into 7 clusters. Cluster 1 was called ‘Arthroscopy treatment results of rotator cuff injuries’. It contained 21.1 % of papers with the total link strength of keywords 22.5 %. Cluster 2 ‘Use of platelet-rich plasma in injuries and diseases of the rotator cuff’ contained 24.2 % of papers with the total link strength 21.2 %. Cluster 3 ‘Biological models’ yielded 18.6 % and 20.0 % respectively. Cluster 4 ‘Regenerative potential of mesenchymal stem cells – 15.2 % and 15.4 % respectively; Cluster 5 ‘Using mesenchymal stem cells in rotator cuff injury treatment’ – 11.7 % and 11.2 % respectively; Cluster 6 ‘Efficiency of mesenchymal stem cells on the treatment of rotator cuff injuries’ – 8.6 % and 8.6 % respectively; Cluster 7 ‘Using of bioactive drugs in orthopaedics / orthobiology’ – 1.4 % and 1.1 % respectively. Leading authors and research schools were identified as well.Conclusion. The results provided an insight into the areas of research over the past 10 years and hence have provided information support for scientists and practitioners exploring innovative treatments for rotator cuff injuries, including the use of bioactive drugs.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"38 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141277366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of morbidity indicators in the personnel of the Ministry of Internal Affairs of Russia","authors":"N. M. Ivanov, E. G. Ichitovkina, V. I. Evdokimov, A. G. Liholetov","doi":"10.25016/2541-7487-2024-0-2-14-38","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-14-38","url":null,"abstract":"Introduction. The extreme work conditions of the Russian Ministry of Internal Affairs personnel strain the functional reserves of body systems accelerate the emergence of occupational diseases and even death. By ensuring safety of the population and social stability in general, combat readiness largely depends on strong health of the Russian Ministry of Internal Affairs workforce.Methods. The object of the study was the database of morbidity rates among employees with special ranks of the Russian Ministry of Internal Affairs from 2008 to 2023. Morbidity rates were correlated with chapters of diseases and causes of death according to the ICD 10th Revision (ICD-10). Average long-term data on morbidity and labor losses were calculated per 1000 (‰) employees, primary disability – per 10 thousand (10–4 ), mortality – per 100 thousand (10–5) employees. The tables present the structure, ranks and disease development dynamics. To calculate the social and epidemiological significance of morbidity, indicators of fatality-associated disease categories were assigned the coefficient 3, primary disability – 2, primary morbidity – 1.5, other types of morbidity and workforce loss – 1. To compare the obtained statistics with morbidity rates in extreme professions, considering the due course of disease development and impossibility to yield absolute data for the latter, the study calculated the arithmetic mean data and errors (M ± m) or medians and quartiles, if different from normal (Me [Q1 ; Q3]). The dynamics of indicators was assessed using time series analysis and calculation of a second-order polynomial trend.Results and analysis. The long-term average rate of general morbidity was 857.1 ‰ (868.5 ± 35.7 ‰), primary morbid- ity – 545.7 ‰ (553.6 ± 27.5 ‰), outpatient follow-up – 123.8 ‰ (125.9 ± 7.5 ‰), loss of workforce – 572.4 (576.1 ± 28.5 ‰), days out of work – 7398 ‰ (7506 ± 391 ‰), primary disability – 10.9 • 10–4 (11.1 ± 1.3 •10–4), mortality – 90.1 • 10–5 (92.4 ± 9.9 • 10–5). With high coefficients of determination, polynomial trends in overall morbidity, primary disability and mortality show a decrease in data, primary morbidity, loss of workforce and days out of work resemble a U-curve, showing an increase in indicators due to COVID-19-associated morbidity cases in 2020–2022. The indicators for injuries, poisoning and some other consequences of externally caused disorders (Chapter XIX) represented the main chapters of diseases that – with a share of 24.6% – were the key contributors to the social and epidemiological significance of morbidity among the personnel of the Ministry of Internal Affairs of Russia, followed by respiratory diseases (Chapter X) – 20.3 % , circulatory system disorders (Chapter IX) – 18.7 %, neoplasms (Chapter II) – 6.8 %, musculoskeletal system and connective tissue diseases (Chapter XIII) – 6.5 %, digestive disorders (Chapter XI). In total, these сhapters of diseases accounted for 82.3 % of the entire social and epidemiologica","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"16 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlation between professional profiles and injury rates among fire and rescue units of the Federal Fire Service of the EMERCOM of Russia","authors":"A. Kondashov, E. Udavtsova, K. A. Mazaev, E. Bobrinev","doi":"10.25016/2541-7487-2024-0-2-86-98","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-86-98","url":null,"abstract":"Relevance. The personnel profiles, turnover rates, and shortage of human workforce have a significant impact on work efficiency, including the risk of occupational injury, among the Federal fire service (FFS) officers of the EMERCOM of Russia. The objective is to analyze the profiles of fire and rescue officers and their individual characteristics by region to identify any associations with occupational injury rates among the EMERCOM FFS personnel.Methods. The research relies on occupational injury statistics for the EMERCOM FFS personnel collected over 3 years from 2021 to 2023. Occupational injury rates are calculated per 10,000 FFS personnel for every Russian Federation constituent. Personnel profiles included average age, service duration, personnel turnover, shortage, education (professional or vocational, including a degree in fire safety engineering), and other employee parameters. Per capita gross regional product was considered for every Russian Federation constituent.Results and analysis. The factor analysis was based on the matrix of synthetic indicators, eventually producing seven significant factors responsible for 75.2 % of the total variance. Factor 3 is associated with the level of occupational injuries. The injury rate does not significantly contribute to other factors. In 2021–2023 the annual injury rate among the EMERCOM of Russia FFS personnel was (8.56 ± 1.02) cases per 10,000 people. All the constituents were split in three color-coded groups by injury rate – the green group for optimal rate, the yellow group for acceptable rate, and the red group for elevated rate. In each group, the average injury rates and assessments for personnel and region profiles were obtained to calculate the χ2 test and determine the indicators that most significantly affect occupational injury rates. The analysis showed that among the EMERCOM of Russia FFS personnel, occupational injury rates are higher in constituents with larger numbers of first responders (therefore, a larger share of firefighting commanders among the FFS personnel) and officers with a degree in fire safety engineering. The injury rate is also higher in constituents with greater workforce.Conclusion. Taking into account the dangerous and risky working conditions of the EMERCOM FFS personnel, firefighter professionalism requires further improvement and promotion to meet current fire and emergency prevention criteria, eliminate consequences, and develop innovative and flexible personnel solutions, allowing to maximize performance and overcome emerging problems.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"48 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis and optimization of global terrorism index indicators","authors":"V. I. Evdokimov, K. Chernov","doi":"10.25016/2541-7487-2024-0-2-74-85","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-74-85","url":null,"abstract":"Relevance. Terrorism has a significantly disrupts life of the population across regions (countries). In recent years, armed conflicts have increased in number, and global terrorist activity has intensified.The objective is to analyze the Global Terrorism Index (GTI) reported across countries from 2010 to 2022 and suggest GTI optimization techniques based on risk metrics and risk indicators.Methods. The GTI is a comprehensive method to study the impact of terrorism in 163 countries, comprising 99.7 % of the world’s population. Data was obtained from annual 2011 to 2023 GTI reports, published by the Institute for Economics & Peace and its founder Steve Killelea, a technology entrepreneur. Quasi-logarithmic structures were used to normalize the baseline data to a 10-point GTI scale (where 10 is the maximum score). The risk of death (injury) among the world’s population was calculated based on the Global Terrorism Database indicators for terrorism biomedical consequences registered from 2011 to 2020. Risks were calculated per 1 million people (10–6). Among the world’s population, the individual risk of death from a terrorist attack was 2.55 • 10–6 deaths/(person • year), while the injury risk was 3.63 • 10–6 injuries/(person • year). Qualitative risk indicators were also calculated as optimal, acceptable, and elevated.Results and analysis. From 2010 to 2022, the annual average GTI indicator showed that 4 countries had a very high terrorism level (average index in Iraq – 9.32, Afghanistan – 9.03, Pakistan – 8.42, Nigeria – 8.11); 8 countries were classified as high risk, 30 countries – as average risk (including Russia – 5.57), 25 countries – as low risk, 84 countries – as very low risk, and 12 countries – as zero cases of terrorism. The GTI correlated well with the number of deaths as a most crucial indicator. At the same time, countries with a large population showed inconsistencies between GTI and terrorism risk indicators. For example, according to 2011–2020 data, China’s GTI level (5.09) was classified as average level of terrorism, with the risk of dying 0.11 • 10–6 deaths/(person • year) and the risk of injury 0.56 • 10–6 injuries/(person • year), which was 15.5 and 4.3 times below the optimal global risk, respectively. Notably, Afghanistan’s GTI level (9.15) was classified as very high risk, with the death risk 93.53 • 10–6 deaths/(person • year) and injury risk 128.49 • 10–6 injuries/(person •year), which was 27.5 and 26.6 times above the elevated global risk, respectively.Conclusion. Although apparently impossible to eradicate completely across the world, terrorism can be drawn to a minimum. The Global Terrorism Index reveals potential threats and allows to compare terrorist activity across individual territories (countries) in order to undertake the necessary political or organizational counter-terrorism measures. Following large-scale studies, risks of death and injury should be incorporated in the Global Terrorism Index enhance unbiased t","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"7 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141281498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Somatometric parameters in firefighters of the Federal Fire Fighting Service of the EMERCOM of Russia","authors":"M. Sannikov, A. P. Kalyuzhnaya, N. V. Makarova","doi":"10.25016/2541-7487-2024-0-2-57-64","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-57-64","url":null,"abstract":"Relevance. Professional firefighters are subjected to high levels of chronic stress due to extreme professional activities. Chronic stress is a psychogenic factor, conducive of obesity, the latter being a predictor of cardiovascular and other diseases. To identify those at a higher risk, the body fat percentage was estimated in the Russian EMERCOM Federal Fire Fighting Service firefighters.The objective is to estimate the body fat percentage in firefighters of the Russian EMERCOM using anthropometric and circumference calculations with further comparative analysis.Methods. Body mass index (BMI) based anthropometric and circumference calculations, including waist circumference, waist/hip ratio, and body type, allowed assess the body fat percentage (BFP) in 98 EMERCOM firefighters working in three fire and rescue units in St. Petersburg. In addition, a retrospective study was performed to analyze 1497 medical examination records of the EMERCOM firefighters involved in fire extinguishing operations in 2019-2023. BFP was relied on circumference calculation used in the U.S. Armed Forces, the U.S. Navy, and the Young Men’s Christian Organization. The somatometric parameters were analyzed using Statistica 13.3 software and statistical methods – dispersion, correlation, stepwise regression, and conjugation table, with the significance level p < 0.05.Results and analysis. The study found that BMI only as a tool to assess the body fat percentage in firefighters is insufficient and does not allow to obtain a reliable result. The reason is that BMI is a highly reliable indicator of excessive body fat only in obese population, whereas in normal-weight or overweight subjects the BMI data is often misleading. In this respect, BFPbased circumference calculation appears to be the most reliable tool to assess body fat content. The study also includes an extensive comparative analysis of the obtained results, suggesting a diagnostic strategy to identify obesity-prone firefighters among the Russian EMERCOM firefighter corps at regular medical examinations. In addition, the suggested new BMI formulas involve simpler arithmetic calculations.Conclusion. The study results, show that excessive body weight is hardly a rare event among professional firefighters of the EMERCOM of Russia. Further studies regarding its correlation with chronic non-infectious diseases are required to develop new healthcare solutions and obesity prevention programs.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"48 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141275080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life among Russians called up for military training","authors":"A. S. Dybin","doi":"10.25016/2541-7487-2024-0-2-65-73","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-65-73","url":null,"abstract":"Relevance. Maintaining healthy mobilization reserves of the Armed Forces of the Russian Federation is critical for the country’s defense capacities. Over the past decade, open-access studies on the health status and health-related quality of life among Russians called up for military training have been extremely scarce.The objective is to assess health-related quality of life among Russians called up for military training.Methods. An observational non-experimental analytical cross-field single-stage sample study was performed to assess health-related quality of life among Russian citizens called up for military training. The sample size included 88 observation units. The study relied on the short version of the WHO Quality of Life questionnaire (WHOQOL-BREF) as a principle research tool. In addition to absolute values, each domain scores were reported as % of the maximum possible score. In addition to the WHOQOL-BREF, the research utilized a standard questionnaire for chronic non-communicable diseases, associated risk factors, drug and psychotropic substance consumption without indication among the Armed Forces of the Russian Federation. The data were presented as categorical and quantitative variables. Statistical analysis included the Kolmogorov-Smirnov criterion to ensure normal distribution of data and nonparametric statistics. The difference was significant when the Type I error probability was less than 5 % (p < 0.05).Results and discussion. The quality of life study among Russians called up for military training in 2023 showed fairly high results (79.7 % of maximum possible value). Social well-being was the most vulnerable domain (73.9 %), with most critical problems to include monetary allowance (65.4 %), availability of recreation and entertainment facilities (68.2 %), and quality of medical care (70 %). Statics showed that quality of life scores were significantly dependent on the level of respondents’ income, presence of gastrointestinal diseases, and alcohol abuse.Conclusions. The short version of the WHO quality of life questionnaire (WHOQOL-BREF) is an excellent and time-sparing screening tool allowing to reveal most critical health-related challenges affecting quality of life among Russian citizens called up for military training. By identifying subjects in need of extensive examination according to the guidance documents on medical care in the Armed Forces of the Russian Federation, the study results allow to improve early disease detection and preserve the health of country’s mobilization reserve.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"59 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges of disaster medicine training as part of professional degree and possible solutions (literature review)","authors":"P. A. Suin, S. A. Gumenyuk, N. N. Pervukhin","doi":"10.25016/2541-7487-2024-0-2-49-56","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-2-49-56","url":null,"abstract":"Relevance. Professional healthcare workers are the main asset of disaster medicine service, enabling utmost efficiency of activities. Disaster medicine training is a must for medical university students due to complicated labor conditions, specific responsibilities, and round-the-clock preparedness to provide emergency medical care to disaster victims. New Russian legislation on advancements in medical education emphasizes the top priority and high demand for disaster medicine training of promising doctors.The objective is to analyze disaster medicine training practices in medical universities providing future healthcare professionals with a disaster medicine degree, as well as to identify specialty-related educational challenges encountered by medical universities of RussiaMethods. The analysis of relevant legal regulation in Russia was supported by open research data regarding professional degree in disaster medicine. The results were systemized; key findings and conclusions were formulated.Results and discussion. Existing degree programs neglect hands-on disaster medicine training of medical professionals. There is an urgent need for a common medical degree curriculum in disaster medicine to be developed and approved by the Russian Ministry of Healthcare. Disaster Medicine as a specialty degree is in dire need of recognition by law, followed by establishing a specialized educational standard and training program. There is critical demand for innovative and more efficient training of students, accurate assessment of knowledge and skills, improved quality of hands-on training, and extensive cooperation of university disaster medicine departments with various disaster medicine institutions.Conclusion. Today the disaster medicine degree in medical universities requires improvements. By solving the identified challenges in disaster medicine hands-on training provided to students in medical universities, the country is going to improve the quality and efficiency of public medical care for those affected by emergency situations.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"56 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141278383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cluster analysis and visualization of keywords in papers on rotator cuff injuries published by international investigators","authors":"A. A. Vetoshkin, S. S. Gusev, N. V. Vasil’chenko","doi":"10.25016/2541-7487-2024-0-1-78-93","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-1-78-93","url":null,"abstract":"Introduction. Epidemiological studies demonstrate that in everyday life rotator cuff injuries are found in a wide range of population cohorts, varying from 10 to 15 % in younger adults and up to 20–30 % in patients aged 60 years and over. The significance of social and economic effects are therefore noteworthy.The objective of this study is to perform a cluster analysis and visualization of keywords in international publications on rotator cuff injuries using the VOSviewer software.Methods. The study analyzes publications related to rotator cuff injures published from 2013 to 2022 and selected from the PubMed international reference and bibliographic database for ‘Rotator Cuff Injuries’ search query. A total of 5,444 results were retrieved and relevant bibliographic information was uploaded in “.txt” format into the analytical software VOSviewer 1.6.20.Results and analysis. With the coefficient of determination (R2 = 0.96), the polynomial trend of article dynamics showed an increase in the number of publications. The average annual number of articles was (653 ± 48). With 10 repetitions, 504 keywords were analyzed and combined subsequently into 7 clusters. Cluster 1 was called ‘Trauma and injuries of the rotator cuff and tendons’. It contained 32.9 % of papers, with the total link strength of keywords 30.7 %. Cluster 2 titled ‘Results of arthroscopic reconstruction of rotator cuff injuries contained 27.7 % of papers with a total link strength of 27.5 %. Cluster 3 ‘Anatomy of the shoulder joint’ yielded 17.5 % and 17.4 % respectively; Cluster 4 ‘Biomechanics of the shoulder joint and rotator cuff’ – 7.3 % and 7.8 %; Cluster 5 ‘Postoperative analysis of surgical reconstruction of rotator cuff injuries’ – 7.1 % and 7.5 %; Cluster 6 ‘Surgical approaches (techniques) in the reconstruction of rotator cuff injuries’ – 4.6 % and 4.8 %; Cluster 7 ‘Structural reconstruction of shoulder function following reconstructive surgical of rotator cuff injuries’ – 3.9 % and 4.8 %. Leading authors and research schools were identified as well.Conclusion. The results provided an insight into the areas of research over the past 10 years and hence have provided information support for scientists and practitioners dealing with traumatic rotator cuff injuries.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":" 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140685972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research perspectives outlined in international publications analyzing medical aid and evacuation measures in emergency (armed conflicts)","authors":"S. A. Kupriyanov, O. G. Chernikov, A. A. Zhukov, M. S. Pluzhnik, I. V. Nazarov","doi":"10.25016/2541-7487-2024-0-1-94-107","DOIUrl":"https://doi.org/10.25016/2541-7487-2024-0-1-94-107","url":null,"abstract":"Relevance. The statistics of armed conflicts across the world shows no decrease, causing large numbers of casualties. This compels military medicine professionals to intensify the study of accumulated experience regarding medical aid and evacuation support in combat and emergency settings.The objective is to analyze research perspectives outlined in academic papers published in international journals from 2005 to 2022 and dealing with medical aid and evacuation in emergency scenarios (armed conflicts).Methods. The study analyzes 1.496 international research papers dealing with medical aid and evacuation support management in military forces across the world. All the papers are published in peer-reviewed journals and registered in the PubMed database. The VOSviewer program was used for cluster analysis and visualization of keyword co-occurrences.Results and discussion. In the VOSviewer, keywords were assigned across 6 clusters. Cluster 1 included 28.7 % of publications on general issues of military medicine with the total link strength of 26.4 % in the total study sample, followed by cluster 2 on medical aid and evacuation efforts in emergency situations (19.8 % and 18.9 %, respectively), cluster 3 on therapies and evacuation efforts in combat injuries (16.3 % and 18.7 %), cluster 4 on medevac operations (13.7 % and 13.7 %), cluster 5 on medical aid and evacuation efforts in the USA (11.7 % and 12.8 %), and cluster 6 on emergency medical care in armed conflicts (9.8 % and 9.7 %, respectively). The analysis allowed to identify mainstream international research schools that set the trend in medical aid and evacuation amid emergencies (armed conflicts).Conclusion. Bibliometric databases are a universal tool allowing to expand the scope of research and determine the mainstream trends in military medicine for a particular timespan. The studies by international investigators can useful for Russian military medicine professionals, including comparative studies on medical aid and evacuation efficiency in different countries.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":" 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140688324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}